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Contact Information

JENNIFER L GILMORE, D.O
4660 S HAGADORN RD
SUITE 500
EAST LANSING, MI48823-5376
 Phone: 517-432-6144
 Fax: 517-432-6150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for JENNIFER L GILMORE · (Female)

NPI # 1043228653
Status Active
Credentials D.O
Entity Individual
Enumeration date 08/03/2006
Last updated 02/13/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101012812
  • MI Medicaid 1043228653
  • MI Medicaid 4219066
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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